If the Merchant Application is for a
Trust, a copy of the Trust Deed is required. Please supply a copy of the Trust Schedule*
(usually 1 page) and/or Trustees Signatory Page, confirming that the Trustee is the same individual(s)
listed on the application.
* Please note we do not require the complete Trust Deed.

By completing this Application, the business (A) warrants that all the information in this application
is true and correct and not misleading; (B) acknowledges that it will be bound by the Diners Club
Merchant Terms and Conditions (which will be provided on approval of this application or viewed at
www.dinersclub.com.au); (C) confirms that the GST related information supplied above is true and
correct. Diners Club must be contacted should there be any change to any information on this form
including the GST status of the company, such as its supplies either ceasing or starting to be solely
GST payable, or its registration or de-registration for ABN or GST purposes. By submitting this application,
you warrant to Diners Club that you have the authority to complete this application on behalf of
the business. If your business is a: Company: Required signatory is the Company Director. Please
provide ACN, refer to Ownership Details section. Trust: Required signatory is the direct Trustee
or person named on the Trust deed, nominating either a) Company name and ACN b) Individual, names
of person/s listed on Trust deed. Refer to Ownership Details section. Partnership: Required signatory
is a Partner of the business. Please provide partnership name. If the business is a partnership,
you undertake to advise Diners Club if the partnership is dissolved or restructured. Refer to Ownership
Details section. Sole Trader: Required signatory is the Sole Trader. Please refer to Ownership Details
section. Government Department: Required signatory is person/s authorized by government policy as
a signatory.
Regular payments. If you process regular payments, you must provide customers with an easy
means of informing you of changes to their card account details or their wish to cancel their regular
payment arrangements. You must action all customer requests within 5 business days of your receipt.
All regular payment transactions must be authorised.

Privacy Consents and Notifications

This section sets out important privacy consents that you give us by completing this application. It
also sets out important information about our collection, use, disclosure and management of your
personal information. In this section, 'we/us' means Diners Club Pty Limited ("Diners Club") and
'you/your' means all customers named in this application and other individuals (such as guarantors,
directors or shareholders) connected with those customers.

1) We collect, use and disclose your personal information: to assess this application and future applications;
to provide and manage your products, accounts and services and to manage your relationship and arrangements
with us; so we can comply with applicable laws both in Australia and overseas (for more details about
relevant Australian laws please see our Privacy Policy); and for other purposes as listed in our
Privacy Policy.

If you do not provide us with the information we ask for or the information provided is incorrect or
incomplete, we may not be able to assess your application or provide or manage the products or services
that you are (or if you are not the applicant, that the applicant is) seeking.

2) We usually collect your personal information directly from you but sometimes we may need to collect
personal information about you from third parties. This may include, for example, where we need information
from a third party to assist us to process your application or to assist us to locate or communicate
with you.

3) We may disclose to, and obtain from, the following organisations personal information about you for
the purposes described above (as well as otherwise permitted by the Privacy Act):

· our related companies in Australia and overseas;

· any signatory to the product for which you are applying;

· any broker, financial, legal or other adviser acting in connection with your product
or application;

· regulatory and tax authorities in Australia and overseas;

· any insurer relating to your product;

· organisations wishing to acquire an interest in any part of our business for assessing
or implementing any such acquisition;

· organisations that carry out functions for us or on our behalf including mailing houses,
data processors, researchers and collection agents; and

· other organisations as further set out in our Privacy Policy.

4) Some of the recipients to whom we disclose your personal information may be based overseas. (For example,
a disclosure to an overseas recipient may be necessary for operational reasons - such as because
you have requested an international payment to be made or another product or service that involves
an international element - or to comply with foreign legal or regulatory requirements. We may
also use service providers based overseas).

It is not practicable to list every country in which such recipients are located but it is likely that
such countries will include the United States of America, India, the Philippines and Singapore. You
acknowledge that by consenting to us disclosing your personal information to overseas recipients,
Australian Privacy Principle 8.1 will not apply to the disclosure and as a result we may not be liable
under the Privacy Act if the recipient does not act consistently with the Australian Privacy Principles.
By completing this application form you consent to disclosures to overseas recipients.

5) You can view the Diners Club Privacy Policy on our website www.dinersclub.com.au/privacy or obtain
a copy by calling us on 1300 360 060. This policy includes information as to how you can access and/or
seek correction of the personal information we hold about you. A charge may apply for providing you
with access to your personal information. Our Privacy Policy also contains information as to how
you can complain about a breach by us of the Privacy Act and how we will deal with such a complaint.